What would be your perfect computer charting system?

[hsmom24boys]

Hi!

I am involved in developing a new computerized charting system and I would love input from bedside nurses in all specialties.

What don't you like about your current system?

What features would keep you at the bedside and allow you to spend your time with the pt instead of endless charting?

What features would be most effective in preventing errors?

Any input will be appreciated.

What about Joint commission required charting (I.E. pain relief) What does your hosp require?

[wanderlust99]

I love computer charting. I love scanning meds - it is almost impossible to make an error. Mostly, I love having physician orders computerized and typed in by the ordering physician! It is wonderful. No more wasting time through a chart or a stupid Kardex. No more missing medications or orders. I despise paper charting. I like everything to be on one system and absolutely zero paper charting involved! And no double charting of anything.

Anyway, I have used several different systems and my preferred is Epic, though there just a few things I would like to tweak with it. Too much double charting going on in a few places, hopefully though they will get it worked out.

Wish all hospitals nationwide used the same charting. That way we could PERFECT IT! There's too much to explain on this message board about what system I like.

Pain charting: If on a pain drip, like fentanyl drip, we chart q1hr. If you gave a pain med, you chart the response in 30 min for IV and I believe it's 1 hr after PO.

If sedated, you chart q2hr.

Your regular pt who isn't in pain and hasn't received pain meds, you chart q4hr.

Also heard of them getting upset when you charted it too much! So freakin annoying.

[Virgo_RN, BSN, RN]

I would love for all assessments to be connected so you don't have to hunt and peck under different tabs to make sure you charted everything, if that makes any sense.